| NPI | 1083457352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKH DEV SINGH KHALSA President 323-301-9652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-10-02 |